HEAVENER DIALYSIS LLC (NPI# 1689008740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689008740 |
| Entity Type | Organization |
| Organization Name | HEAVENER DIALYSIS LLC |
| Other Organization Name | VICTORY DIALYSIS |
| Practice Address |
2401 Shelby St Columbus GA 31903-0000 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7066825327 |
| Practice Fax Number | 7066826059 |
| Mailing Telephone | 6153204286 |
| Mailing Fax Number | 8665942893 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | MR. JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Victory Dialysis | Doing Business As Name - Organization |
| Street Address |
2401 SHELBY ST |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31903-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568771 | Total Renal Care Inc | Clinic/Center | 2401 Shelby St, Columbus, GA 31903-3360 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780104059 | Southern Living Academy PCh Inc. | Lodging | 4225 Alton Strret, Columbus, GA 31903 | 2017-06-27 |
| 1902348980 | Stephen Bible | Technician, Other | 113 Mosley Dr, Columbus, OH 31903 | 2016-11-08 |
| 1720501448 | Charlene Elise Baltimore | Counselor | 2100 Comer Ave, Columbus, GA 31903 | 2017-07-25 |
| 1770759052 | Soyini A. Fletcher | Dentist | 1600 Fort Benning Road, Columbus, GA 31903 | 2008-05-06 |
| 1124255955 | Brenda Gail Robinson | Licensed Practical Nurse | 2703 Dawson St, Columbus, GA 31903-1342 | 2009-06-19 |
| 1871931923 | Hope of Columbus, Inc. | Assisted Living Facility | 47 30th Ave, Columbus, GA 31903-1734 | 2013-06-11 |
| 1013382670 | Michael V Williams Jr. | Counselor | 3110 Clay St, Columbus, GA 31903-1926 | 2015-12-08 |
| 1114130374 | Jeffery Winfred Raney | Social Worker | 740 Winston Rd, Columbus, GA 31903-1940 | 2007-05-07 |
| 1326519489 | Sabrina Marie Hailey | Contractor | 3390 N Lumpkin Rd Apt 1108, Columbus, GA 31903-2120 | 2018-12-16 |
| 1912505736 | Patrick Banks | Case Management | 3390 N Lumpkin Rd Apt 1108, Columbus, GA 31903-2120 | 2020-10-14 |
| Find all providers in zip 31903 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569922 | Fresenius Kidney Care Columbus Home, LLC | Clinic/Center | 711 Talbotton Rd, Columbus, GA 31904-8908 | 2017-07-05 |
| 1265963417 | Dialysis Clinic Inc | Clinic/Center | 5990 Warm Springs Rd, Columbus, GA 31909-4310 | 2017-03-21 |
| 1760926257 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 758 Communications Parkway, Columbus, OH 43214-1948 | 2016-12-19 |
| 1366809857 | Kidney Center of Whitehall LLC | Clinic/Center | 6038 E Main St, Columbus, OH 43213-3357 | 2016-01-28 |
| 1912371212 | Columbus Med Partners, LLC | Clinic/Center | 4500 W. Broad Street, Columbus, OH 43228-1623 | 2015-11-24 |
| 1861894768 | Rcg Mississippi, Inc. | Clinic/Center | 3499 Bluecutt Rd, Columbus, MS 39705-1346 | 2014-09-23 |
| 1437586153 | Rcg Mississippi, Inc. | Clinic/Center | 139 N Brookmoore Dr, Columbus, MS 39705-2024 | 2013-09-27 |
| 1710226915 | Goldendale Dialysis LLC | Clinic/Center | 1200 Brookstone Centre Pkwy Ste 111, Columbus, GA 31904-2934 | 2013-02-07 |
| 1073787248 | Columbus Rna Davita LLC | Clinic/Center | 226 Graceland Blvd, Ste 3-09a, Columbus, OH 43214-1532 | 2008-04-17 |
| 1518146679 | Total Renal Care Inc | Clinic/Center | 1391 Georgesville Rd, Columbus, OH 43228-3611 | 2007-10-25 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on HEAVENER DIALYSIS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.